What every payer pays for 97116 in California
13 commercial payers publish California rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $29.67 per 15 min. California Medicaid's fee-for-service rate, $11.28 per 15 min, is 62% below that commercial median.
- Commercial median
- $29.67per 15 min
- California Medicaid
- $11.28
- Medicare
- $30.47+
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97116 in California, by payer type
Medicare's physician fee schedule pays $30.47–$36.61 in California across 29 localities.
Each payer's 97116 rate in California
Frequently asked questions
What do commercial payers pay for 97116 in California?
The median of 13 payers' medians is $29.67 per 15 min, from 829 published rates in the October 2026 files.
How does California Medicaid compare with commercial insurance for 97116?
California Medicaid pays $11.28 per 15 min, 62% below the commercial median.
What does Medicare pay for 97116 in California?
$30.47 to $36.61 on the RVU26B physician fee schedule (non-facility).
What does Kaiser Permanente pay for 97116 in California?
Kaiser Permanente's median is $32.07 per 15 min, from 321 rates and 1321 providers.
What does UnitedHealthcare pay for 97116 in California?
UnitedHealthcare's median is $31.04 per 15 min, from 275 rates and 2671 providers.